Root Cause Analysis and Safety Improvement Plan
Assessment 2 Instructions: Root-Cause Analysis and Safety Improvement Plan
To foster a truly safe environment for patients in a facility, one must look for broader patterns in safety concerns and trace them back to their common root causes. And, after these root causes have been identified, careful planning must be undertaken to enact evidence-based strategies to mitigate these issues.
In this scenario, you will assume the role of the charge nurse of a care unit at Clarion Court Skilled Nursing Facility in Shakopee, MN, a part of the Vila Health network. Clarion Court has seen a steady rise in medication errors over the past six months, leading to a particularly serious
medication error last week that nearly resulted in an overdose.
The administrator of the facility, Stephen Silva, has asked you to conduct a root cause analysis and assist with creating a safety improvement plan to address the increase of medication errors on the unit over the past several months. This is a very serious matter because patient safety is of the utmost concern and medication errors remain a top priority at health care settings. You are required to submit a root cause analysis and safety improvement plan based off the incidences reported surrounding medication errors.
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